Austin Alan Ethan Fisher Gehring

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61156686 Issued in WA

Practice address

1060 Hudson St
Longview, WA 98632-3103

Phone

(360) 423-2037

NPI assigned

Mar 31, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Fleet Chiropractic PSGroup PAC ID 9335437250, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Van Fleet Chiropractic PS

  • Chiropractor
  • Longview, WA
  • NPI 1619274081
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1396323234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HUDSON ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323103",
            "telephone_number": "360-423-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HUDSON ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986323103",
            "telephone_number": "360-423-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER GEHRING",
        "first_name": "AUSTIN",
        "middle_name": "ALAN ETHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61156686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britta C Fischer, P.A.-C.
• Gwenevere R Fischer
• Kassandra Fischer
• Nicholas Fish, CPSS
• Sara Fish, CPC
• Heather Marie Ireton Fisher, LMP
• Lavern M Fisher, M.A.
• David Ross Fitch, D.D.S.
• Brianna Louise Fitzgerald
• Jessica Sarahmarie Fitzgerald, BS, R-AAC, SUDP

• Chiropractor in Longview, WA
• Providers in Longview, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.